This presentation aims to highlight technical approaches, key activities, documented framework, data discoveries, lessons learned and outcomes achieved while implementing and onboarding new electronic interfaces with hospitals and clinics onboarding local hospitals for syndromic surveillance. The federal meaningful use initiative is currently a major driver to enable greater establishment of syndromic surveillance capacity across the United States. The role and efforts by public health agencies in the syndromic onboarding process varies greatly. We describe efforts from a local public health agency to onboard, validate and integrate meaningful use syndromic information.